기관 절개술 중 발생한 경동맥 파열 1예
A Case of the Carotid Rupture in Procedure of Tracheostomy
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In order to avoid complications of tracheostomy, it is important to treat the tendency to bleed preoperatively and to control it meticulously during the operation as well. Also, careful dissection of trachea and tracheal fenestration technique is helpful for a safe tracheostomy. Recently, the authors experienced a rare case of a ruptured common carotid artery that took place during the dissection of peritracheal soft tissues caused by a lack of operative carefulness. It was controled by suture of the common carotid artery under direct vision of the vessel with the help of CS department. The authors report it with a review of literature. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:54-6
Abstract
In order to avoid complications of tracheostomy, it is important to treat the tendency to bleed preoperatively and to control it meticulously during the operation as well. Also, careful dissection of trachea and tracheal fenestration technique is helpful for a safe tracheostomy. Recently, the authors experienced a rare case of a ruptured common carotid artery that took place during the dissection of peritracheal soft tissues caused by a lack of operative carefulness. It was controled by suture of the common carotid artery under direct vision of the vessel with the help of CS department. The authors report it with a review of literature. Korean J Otorhinolaryngol-Head Neck Surg 2010;53:54-6
참고문헌 (5)
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- Myers EN, "Early complications of tracheotomy. Incidence and management", Clin Chest Med, 12(3), pp.589~595 (1991)
- Lee BD, "Carotid artery ruptures after radiation therapy and trauma", Korean J Otolaryngol- Head Neck Surg, 30(6), pp.1000~1004 (1987)
- Nam SY, "A case of management of carotid artery rupture by detachable balloon embolization", J Otolaryngol-Head Neck Surg, 42(1), pp.125~128 (1999)